| NPI | 1801016878 |
|---|---|
| Doing Business As | CENTER FOR LIFESTYLE CHANGE |
| Entity Type | Organization |
| Authorized Contact | PHILLIP D LETT Administrator/President 602-852-0911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: AZ BH934) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-06-12 |